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1982009049
CORNELIA LANE
SHELBY, NC
NPI
1982009049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NC 5007296)
Enumeration Date
2014-10-30
Last Update Date
2016-11-15
Business Address
-- CORNELIA LANE AG-ACNP
201 E GROVER ST
SHELBY, NC 28150-3917
Phone number: 980-487-3678
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Mailing Address
-- CORNELIA LANE AG-ACNP
201 E GROVER ST
SHELBY, NC 28150-3917
Phone number: 980-487-3678
Copy
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